| NPI | 1841418464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI RI014255) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN116741) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2023-05-16 |